Madhumitha Ambalavanan, DMD

NPI #1659601656 in Ellicott City, Maryland

Provider Information

NPI Number: 1659601656
Entity Type: Individual
Name: Madhumitha Ambalavanan, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 13, 2010
Last Updated: Oct 27, 2023

Practice Location

Address: 9200 BALTIMORE NATIONAL PIKE
City: Ellicott City
State: Maryland
ZIP Code: 21042-2613
Phone: (410) 480-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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